CLEARANCE FORM

Project Title: Hotel Apartments & Retail at Al Mirqab Al Jadid Employer / Owner: Bin Al Sheikh Holding
Project Reference No. PM: Projacs International Qatar (PIQ)
Submittal No.: Cost Consultant: Northcroft Middle East LLC
Revision No.: Contractor: Al Jaber Trading & Contracting
Date:

Ref No: Date:

Tower :
Floor: ZONE NO :
DESCRIPTION OF WORK :

Work Completed Floors Walls Ceiling

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

YES NO YES NO YES NO

Submitted By: Contractor Name
Comments:

Submitted By : Signature: Date:

FOR CONSULTANT USE:
Status Approved Not Approved
Comments:

Signature / Stamp:
Date:

FOR PIQ USE:

Comments:

Signature / Stamp: Date:

For Successor Contractor Use : (JTC / xx )

Comments:

Received by - Signature: Date